Medically complex pregnancies and early breastfeeding behaviors: a retrospective analysis.

<h4>Background</h4>Breastfeeding is beneficial for women and infants, and medical contraindications are rare. Prenatal and labor-related complications may hinder breastfeeding, but supportive hospital practices may encourage women who intend to breastfeed. We measured the relationship be...

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Autores principales:	Katy B Kozhimannil, Judy Jou, Laura B Attanasio, Lauren K Joarnt, Patricia McGovern
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c887dae831f5423fab697f4451285da6
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spelling	oai:doaj.org-article:c887dae831f5423fab697f4451285da62021-11-25T06:04:57ZMedically complex pregnancies and early breastfeeding behaviors: a retrospective analysis.1932-620310.1371/journal.pone.0104820https://doaj.org/article/c887dae831f5423fab697f4451285da62014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25118976/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Breastfeeding is beneficial for women and infants, and medical contraindications are rare. Prenatal and labor-related complications may hinder breastfeeding, but supportive hospital practices may encourage women who intend to breastfeed. We measured the relationship between having a complex pregnancy (entering pregnancy with hypertension, diabetes, or obesity) and early infant feeding, accounting for breastfeeding intentions and supportive hospital practices.<h4>Methods</h4>We performed a retrospective analysis of data from a nationally-representative survey of women who gave birth in 2011-2012 in a US hospital (N = 2400). We used logistic regression to examine the relationship between pregnancy complexity and breastfeeding. Self-reported prepregnancy diabetes or hypertension, gestational diabetes, or obesity indicated a complex pregnancy. The outcome was feeding status 1 week postpartum; any breastfeeding was evaluated among women intending to breastfeed (N = 1990), and exclusive breastfeeding among women who intended to exclusively breastfeed (N = 1418). We also tested whether breastfeeding intentions or supportive hospital practices mediated the relationship between pregnancy complexity and infant feeding status.<h4>Results</h4>More than 33% of women had a complex pregnancy; these women had 30% lower odds of intending to breastfeed (AOR = 0.71; 95% CI, 0.52-0.98). Rates of intention to exclusively breastfeed were similar for women with and without complex pregnancies. Women who intended to breastfeed had similar rates of any breastfeeding 1 week postpartum regardless of pregnancy complexity, but complexity was associated with >30% lower odds of exclusive breastfeeding 1 week among women who intended to exclusively breastfeed (AOR = 0.68; 95% CI, 0.47-0.98). Supportive hospital practices were strongly associated with higher odds of any or exclusive breastfeeding 1 week postpartum (AOR = 4.03; 95% CI, 1.81-8.94; and AOR = 2.68; 95% CI, 1.70-4.23, respectively).<h4>Conclusions</h4>Improving clinical and hospital support for women with complex pregnancies may increase breastfeeding rates and the benefits of breastfeeding for women and infants.Katy B KozhimannilJudy JouLaura B AttanasioLauren K JoarntPatricia McGovernPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 8, p e104820 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Katy B Kozhimannil Judy Jou Laura B Attanasio Lauren K Joarnt Patricia McGovern Medically complex pregnancies and early breastfeeding behaviors: a retrospective analysis.
description	<h4>Background</h4>Breastfeeding is beneficial for women and infants, and medical contraindications are rare. Prenatal and labor-related complications may hinder breastfeeding, but supportive hospital practices may encourage women who intend to breastfeed. We measured the relationship between having a complex pregnancy (entering pregnancy with hypertension, diabetes, or obesity) and early infant feeding, accounting for breastfeeding intentions and supportive hospital practices.<h4>Methods</h4>We performed a retrospective analysis of data from a nationally-representative survey of women who gave birth in 2011-2012 in a US hospital (N = 2400). We used logistic regression to examine the relationship between pregnancy complexity and breastfeeding. Self-reported prepregnancy diabetes or hypertension, gestational diabetes, or obesity indicated a complex pregnancy. The outcome was feeding status 1 week postpartum; any breastfeeding was evaluated among women intending to breastfeed (N = 1990), and exclusive breastfeeding among women who intended to exclusively breastfeed (N = 1418). We also tested whether breastfeeding intentions or supportive hospital practices mediated the relationship between pregnancy complexity and infant feeding status.<h4>Results</h4>More than 33% of women had a complex pregnancy; these women had 30% lower odds of intending to breastfeed (AOR = 0.71; 95% CI, 0.52-0.98). Rates of intention to exclusively breastfeed were similar for women with and without complex pregnancies. Women who intended to breastfeed had similar rates of any breastfeeding 1 week postpartum regardless of pregnancy complexity, but complexity was associated with >30% lower odds of exclusive breastfeeding 1 week among women who intended to exclusively breastfeed (AOR = 0.68; 95% CI, 0.47-0.98). Supportive hospital practices were strongly associated with higher odds of any or exclusive breastfeeding 1 week postpartum (AOR = 4.03; 95% CI, 1.81-8.94; and AOR = 2.68; 95% CI, 1.70-4.23, respectively).<h4>Conclusions</h4>Improving clinical and hospital support for women with complex pregnancies may increase breastfeeding rates and the benefits of breastfeeding for women and infants.
format	article
author	Katy B Kozhimannil Judy Jou Laura B Attanasio Lauren K Joarnt Patricia McGovern
author_facet	Katy B Kozhimannil Judy Jou Laura B Attanasio Lauren K Joarnt Patricia McGovern
author_sort	Katy B Kozhimannil
title	Medically complex pregnancies and early breastfeeding behaviors: a retrospective analysis.
title_short	Medically complex pregnancies and early breastfeeding behaviors: a retrospective analysis.
title_full	Medically complex pregnancies and early breastfeeding behaviors: a retrospective analysis.
title_fullStr	Medically complex pregnancies and early breastfeeding behaviors: a retrospective analysis.
title_full_unstemmed	Medically complex pregnancies and early breastfeeding behaviors: a retrospective analysis.
title_sort	medically complex pregnancies and early breastfeeding behaviors: a retrospective analysis.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/c887dae831f5423fab697f4451285da6
work_keys_str_mv	AT katybkozhimannil medicallycomplexpregnanciesandearlybreastfeedingbehaviorsaretrospectiveanalysis AT judyjou medicallycomplexpregnanciesandearlybreastfeedingbehaviorsaretrospectiveanalysis AT laurabattanasio medicallycomplexpregnanciesandearlybreastfeedingbehaviorsaretrospectiveanalysis AT laurenkjoarnt medicallycomplexpregnanciesandearlybreastfeedingbehaviorsaretrospectiveanalysis AT patriciamcgovern medicallycomplexpregnanciesandearlybreastfeedingbehaviorsaretrospectiveanalysis
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Medically complex pregnancies and early breastfeeding behaviors: a retrospective analysis.

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